Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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James W Baker MD LLC

James W Baker MD LLC was paid $60K by Medicaid between May 2018 and Oct 2024, across 6 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 35% of everything it billed.

33Billing provider infoJAMES W BAKER MD LLC
PORTLAND, OR 97223
33aNPI1225207178assigned 02/25/2008
33bProvider typeSpecialist
28Total paid$60K
24GClaims1,027
24DCodes billed6
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in Oregon

Rank by total paid#36 of 85
Median peer was paid$36K
This provider vs. median1.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201831$270.14
201952$4K
202027$2K
202128$234.87
2022116$4K
2023296$21K
2024incomplete477$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 35% 491 487 $21K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29% 123 123 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 146 130 $10K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 76 75 $7K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4.1% 27 26 $2K
95117 2.3% 164 84 $1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMADDEN, CINDY (ADMINISTRATOR)